Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Soo-Mi Mi Park, MD

Individual provider Internal Medicine Physician · NPI 1780700781

Soo-Mi Mi Park, MD is a Cardiovascular Disease (Cardiology) in Hackensack, New Jersey. Graduated from Columbia University College of Physicians and Surgeons in 2004, 22 years ago. Practices with Mulkay Cardiology Consultants at Holy Name Medical Center, PC, a 6-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
22
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

493 Essex Ave
Hackensack, NJ 07601-1215
Phone: (201) 996-9244
Fax: (201) 996-9243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Imaging & Therapy Physician (primary) Taxonomy 207UN0902X · Licence 25MA08918200 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 237492 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 25MA08918200 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA08918200 (NJ)

Record details

NPI number1780700781
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESOctober 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2004 (22 years in practice)
Group practice Mulkay Cardiology Consultants At Holy Name Medical Center, Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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